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<table border="0" class="report_table" width="100%" cellpadding="0" cellspacing="0" >
  <tr>
    <td width="3%" rowspan="2" align="center" valign="middle" class="data" ><strong>STT</strong></td>
    <td width="13%" rowspan="2" align="center" valign="middle" class="data"><strong>H&#7885; v&agrave; t&ecirc;n </strong></td>
    <td width="5%" rowspan="2" align="center" valign="middle" class="data" ><strong>Gi&#7899;i t&iacute;nh </strong></td>
    <td width="6%" rowspan="2" align="center" valign="middle" class="data" ><strong>N&#259;m sinh </strong></td>
    <td width="7%" rowspan="2" align="center" valign="middle" class="data" ><strong>Nguy&ecirc;n qu&aacute;n </strong></td>
    <td width="10%" rowspan="2" align="center" valign="middle" class="data" ><strong>Tr&uacute; qu&aacute;n</strong></td>
    <td colspan="2" align="center" valign="middle" class="data"><strong>Huy ch&#432;&#417;ng kh&aacute;ng chi&#7871;n </strong></td>
    <td width="4%" rowspan="2" align="center" valign="middle" class="data" ><strong>C&ograve;n s&#7889;ng </strong></td>
    <td width="6%" rowspan="2" align="center" valign="middle" class="data" ><strong>&#272;&atilde; ch&#7871;t ng&agrave;y </strong></td>
    <td colspan="3" align="center" valign="middle" class="data"><strong>Ng&#432;&#7901;i h&#432;&#7903;ng tr&#7907; c&#7845;p </strong></td>
    <td width="11%" rowspan="2" align="center" valign="middle" class="data" ><strong>Tr&#7907; c&#7845;p</strong></td>
  </tr>
  <tr>
    <td width="6%" align="center" valign="middle" class="data" ><strong>H&#7841;ng</strong></td>
    <td width="11%" align="center" valign="middle" class="data" ><strong>Quy&#7871;t &#273;&#7883;nh s&#7889; ................ ng&agrave;y </strong></td>
    <td width="7%" align="center" valign="middle" class="data" ><strong>Ng&#432;&#7901;i nh&#7853;n tr&#7907; c&#7845;p </strong></td>
    <td width="5%" align="center" valign="middle" class="data" ><strong>Quan h&#7879; v&#7899;i ng&#432;&#7901;i ch&#7871;t </strong></td>
    <td width="6%" align="center" valign="middle" class="data" ><strong>N&#417;i &#7903; hi&#7879;n nay </strong></td>
  </tr>
  <tr>
    <td width="3%" align="center" valign="middle" class="data" >1</td>
    <td width="13%" align="center" valign="middle" class="data">2</td>
    <td width="5%" align="center" valign="middle" class="data" >3</td>
    <td width="6%" align="center" valign="middle" class="data" >4 </td>
    <td width="7%" align="center" valign="middle" class="data" >5</td>
    <td width="10%"  align="center" valign="middle" class="data" >6</td>
    <td align="center" valign="middle" class="data">7</td>
    <td align="center" valign="middle" class="data">8</td>
    <td width="4%" align="center" valign="middle" class="data" >9</td>
    <td width="6%" align="center" valign="middle" class="data" >10</td>
    <td align="center" valign="middle" class="data">11</td>
    <td align="center" valign="middle" class="data">12</td>
    <td align="center" valign="middle" class="data">13</td>
    <td width="11%" align="center" valign="middle" class="data" >14</td>
  </tr>

